MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI 1982258653
Dentist - General Practice in Boulder, CO

Q: What is My Local Colorado Dental Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 30, 2019

1844 PEARL ST, BOULDER, CO 80302(720) 465-4382 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About My Local Colorado Dental Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI 1982258653), doing business as Sage Dental Care, is a healthcare organization registered as a general practice in Boulder, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1982258653

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC

Location Address1844 PEARL STBoulder, CO 80302-5533

Mailing Address1844 Pearl StBoulder, CO 80302-5533 · (720) 465-4382

Phone(720) 465-4382

Organization SubpartYes

Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338

Enumeration DateJuly 30, 2019

✔ NPI 1982258653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1844 PEARL ST, Boulder, CO 80302

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Other Names 1

Doing Business AsSage Dental Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY LYNN HULSE DDS

Dentist (General Practice)

1844 PEARL ST
BOULDER, CO 80302

Boulder County (303) 442-4555

MS. MARCELA OT'ALORA G M.A.

Counselor (Mental Health)

1844 PEARL ST
BOULDER, CO 80302

Boulder County (303) 818-1419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1982258653. It was assigned to this organization in the NPPES registry on July 30, 2019. The provider is doing business as Sage Dental Care.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 1844 Pearl St, Boulder, CO 80302. The listed phone number is (720) 465-4382.

What is My Local Colorado Dental Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for My Local Colorado Dental Practice, LLC was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.